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Obesity affecting hyst???
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06-18-2003, 12:55 AM
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Guest
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Posts: 26
Hysterectomy: August 18th, 2003
Surgery Type: TAH
Ovaries: Removed both
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Obesity affecting hyst???
Hi...I'm scheduled for a TAH/LSO on August 18. When my gyn and I first discussed this after my hysteroscopy in January, she said losing 50 pounds would make the procedure much easier for both of us.
I am "morbidly obese" over 300 pounds. I have been working SO hard with a daily exercise regimine and watching my food intake (keeping a journal.) I also have PCOS and Diabetes to further muddy the waters. My pcp meets with me every month to talk, weigh & measure. I have lost a lot of inches, but not nearly 50 pounds. My pcp says if I keep doing what I'm doing the scale will begin to move a little faster. She is in touch with my gyn who is really pleased with my progress. My pcp says she feels weight loss might be somewhat easier after my hyst. My diabetes is pretty well controlled right now.
I see my gyn on July 14...she is considering doing a variation of a tummy tuck at the same time as the hyst. She wants to thoroughly examine my abdomen before she decides. Both she and my pcp say having the tummy addressed the same time as the hyst can be helpful to obese women in reducing the risk of infection and possibility of hernias after surgery.
I haven't been a bit nervous/scared about this til recently. I know I'm higher risk than most, but the hyst has to be done.
Has anyone had a similar experience with having a hyst while "MO", or having the tummy tuck at the same time?
I am working so hard on getting stronger and healthier. But right now I'm feeling a little scared.
Hugs....
Tess_Northwest
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06-18-2003, 03:01 AM
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Guest
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Posts: 489
Hysterectomy: June 9th, 2003
Surgery Type: TAH
Ovaries: Removed both
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Obesity affecting hyst???
Hi-
There was a post a couple of weeks back, I think it was called "obesity" - anyway, you might want to look it up.
I am 5'5, 240 lbs with PCOS and Diabetes. My GYN said no way to a tummy tuck. He said that would add more complications to the surgery. It is usually done to remove loose, hangy skin, not fatty skin. Does that make sense? Loose skin, like after you have lost a lot of weight. I joked that he could do lipo, but he was very serious that I would do just fine with the TAH/BSO only at this point.
I have a friend that had a tummy tuck with her breast reconstruction- they took her tummy skin to make breasts after a radical double mastectomy- and she came home with drainage tubes and had to use a walker to get around because she couldn't stand up straight for awhile. That helped cure me of wanting the tummy tuck along with the hyst! But maybe the TT will benefit you differently.
You will want to really keep an eye on the diabetes before and after surgery. Surgery can wack out your sugars for a few days. Good control is key to a good recovery period. They were always poking me at the hospital.
IMHO, I would talk with the Dr. more about the tummy tuck and even about the wait for surgery. Ask lots of questions. My Dr. said he did a lot of surgeries on big gals, and they did just fine during and after the surgery. Of course, taking off the weight is really important, but that can be really hard with the PCOS. There is a good post about PCOS from just a couple of weeks ago too- I found that to be very helpful.
Congratulations to you on your loss (that sounds funny to say). I aspire to lose like you! That also sounds funny! Okay- gotta go to bed- my pain meds are kicking in!
Best wishes.... I love the NW too!
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06-18-2003, 10:06 AM
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HysterSister
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Posts: 788
Hysterectomy: March 18th, 2003
Surgery Type: TAH
Ovaries: Removed both
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Obesity affecting hyst???
Tess,
Hi, I'm your neighbor over here in North Idaho.
I am also MO and the part about my surgery that scared me the most was the thought of general anesthesia. Especially after the pre op visit with the anesthesiologist. He basically told me that due to my weight he probably wouldn't be able to intubate me. I asked what would happen if he couldn't and he told me there was a hospital in Portland that specialized in surgery for the MO.
As he put me under the morning of my surgery the last words he said were "if there's any problems I'm going to stop the procedure."
Next thing I knew it was four hours later and I was in post op. Everything went fine.
He came in to see me the morning after the surgery and kind of apologized for scaring me so much. He said if I ever had to had surgery again to have the anesthesiologist give him a call because they would assume by looking at me that intubating me would be almost impossible - but in reality it was very easy.
I think it was easy because I had been walking a mile and a half a day for three months before the surgery and despite how I look I am in very good physical condition.
I have lost forty pounds since my surgery - just by walking a lot and eating better.
My incision is vertical and before surgery they were considering using some kind of mesh to reinforce the insides of the incision but after removing the fifteen pound tumor they had plenty of excess skin and muscle to sew back together. They stitched on the inside and stapled on the outside.
It was a lot easier than I expected it to be and went a lot smoother than the doctors expected.
Just keep doing what you're doing and I'm sure everything will be fine. Seems to me that in a surgical procedure a loss of inches would count more than a loss of pounds
Best of luck with your quest and let us know how it's going!!
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06-18-2003, 11:16 AM
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Guest
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Posts: 7
Hysterectomy: October 18th, 2000
Surgery Type: TAH
Ovaries: Kept 1 or both
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Obesity affecting hyst???
Hey Tess,
I am also Obese and had my hysterectomy a few years ago with No problems. I think the only concern was the thing with the anesthesiologist, he looked in my throat to make sure that it would be no problems to tube me. As far as the other, I am not to sure about that. IMO that would be a little risky but just keep discussing it with your doctors.
Please let us know how everything goes and what u decide! Will keep you in my thoughts and prayers!!!
God Bless!
Also if you would like to chat more, just Private message me!
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06-18-2003, 12:50 PM
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Guest
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Posts: 765
Hysterectomy: April 15th, 2003
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Obesity affecting hyst???
Hi Tess
I am also very much overweight and thought that surgery would be a problem. My doctor said afterward that it did complicate things a bit along with all the scar tissue down there. I thought you might like a like to a couple of threads that mention Obesity:
https://www.hystersisters.com/vb2/sho...hlight=Obesity
This is also a link to a whole bunch of threads that mention Obesity. Here it is:
https://www.hystersisters.com/vb2/sea...der=descending
I hope these help you out!!!!
Sending you a big
Patty
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06-18-2003, 08:01 PM
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Guest
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Posts: 141
Hysterectomy: June 23rd, 2003
Surgery Type: LAVH
Ovaries: Kept 1 or both
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Obesity affecting hyst???
Hi Tess,
Don't have any advice but I wanted to say......
WAY TO GO WITH THE WEIGHT LOSS!!!!!!!!! That is soooo great!!!!!
I am overweight myself and I so admire all of your hard work, willpower, and strength!
Blessings,
Sherri
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06-18-2003, 09:15 PM
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Guest
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Posts: 486
Hysterectomy: May 15th, 2003
Surgery Type: TAH
Ovaries: Removed both
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Obesity affecting hyst???
I had a TT with my TAH and other stuff was about 25-30 pounds overweight.
My plastic surgeon said he does not recommend TT with MO people, as it is not a weight loss procedure, but a tightening of the muscles. He recommends you be within 50 pounds of your ideal "fighting" weight before he will do a TT.
My TT has been great, if you KNEW how wonderful it turned out, you may have some incentive to lose to the point you could have a TT done? It has given me incentive to lose another 15 pounds in the last five weeks! I've dropped from a size 14 to a small 12 or large 10! My waist does not hang over my pants any more. I am able to tuck in my shirts now! I have worn my shirts out for two or three years now. It is great. My dh is stunned how much better I look and the incentive it has given me.
My recovery did not involve any great stooping over, just guarding my muscles, and am not allowed to lift anything heavier than 10 pounds (my cats weigh more!) for three to four months. I am five weeks post op now, and stand perfectly straight, and have since about day 5.
Sometimes insurers will pay for TT resulting from recovering MO I think. Not sure though. The plastic surgeon does a pre-TT evaluation, submits his estimates to your insurer and his diagnosis, and ask for approval, I think. Like a breast reduction - they are also paid for by insurance provided certain perameters are met for the surgery to be necessary.
Good luck, you should do fine.
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07-22-2003, 11:19 AM
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HysterSister
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Posts: 26
Hysterectomy: March 19th, 2003
Surgery Type: TAH
Ovaries: Removed both
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Obesity affecting hyst???
Hi Tess,
I'm MO also (300+ going into surgery). I had my surgery (TAH BSO) on 3/19 and other than some incision problems (the incision is under my belly and I've had some healing problems--they're much better now, though), I'm doing great.
I went to "sleep" just fine, bled a little more than expected, but that came from the fact that they found more problems inside than expected, woke up just fine, and home in 3 days.
Just remember--walk, walk, walk, and if they give it to you, use the breathing thingy. My nurse said these were the best things to do when you're fluffy and having surgery. She was right--bless her.
I'm glad I did it and am finally starting to enjoy "being on the other side".
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